[1]夏强,赖建生,郑东升,等.微创经皮肾取石术治疗无积水肾结石[J].中国微创外科杂志,2008,08(3):258-259.
　Xia Qiang,Lai Jiansheng,Zheng Dongsheng,et al.Mini Percutaneous Nephrolithotripsy for Nonnephredema Renal Calculi[J].Chinese Journal of Minimally Invasive Surgery,2008,08(3):258-259.
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微创经皮肾取石术治疗无积水肾结石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年3期
页码:
258-259
栏目:
出版日期:
2008-10-25

文章信息/Info

Title:
Mini Percutaneous Nephrolithotripsy for Nonnephredema Renal Calculi
作者:
夏强; 赖建生; 郑东升; 赵国平; 陈虎
广东省江门市人民医院泌尿外科，江门529050
Author(s):
Xia Qiang;  Lai Jiansheng;  Zheng Dongsheng;  et al.
Department of Urology, Jiangmen People’s Hospital, Jiangmen 529050, China
关键词:
经皮肾碎石术; 肾; 结石
Keywords:
Percutaneous nephrolithotripsy; Kidney; Calculi
分类号:
R692.4
文献标志码:
A
摘要:
目的探讨微创经皮肾穿刺气压弹道碎石取石（mini percutaneous nephrolithotripsy，MPCNL)治疗无积水肾结石的效果。方法对无积水肾结石47例，经输尿管导管注入生理盐水，制造“人工肾积水”，C形臂X线机定位穿刺，扩张至F16，建立经皮肾取石通道，使用Wolf EMS气压弹道碎石机击碎结石。结果手术时间(120±35)min。单通道取石38例，双通道取石6例，三通道取石3例。一次取石35例，二次取石12例。结石手术取净率83.0％（39/47），最终排净率93.6％（44/47）。无严重并发症。结论对于无积水肾结石，MPCNL技术要求较高，掌握无积水肾结石的解剖特点和PCNL的技巧，可以达到积水肾结石相类似的疗效，同样具有创伤小、结石残留率低、并发症少、康复快等优点，是一种安全、微创、有效的治疗方法。
Abstract:
ObjectiveTo study the effect of mini percutaneous nephrolithotripsy (MPCNL) for nonnephredema kidney calculi. MethodsA total of 47 patients with nonnephredema kidney calculi were enrolled in this study. Physiological saline solution was infused into the kidney through a ureteral catheter to induce hydronephrosis. Carm Xray machine was employed in percutaneous puncture and Wolf EMS was used to smash the calculi.ResultsThe mean operation time was (120±35) min.The calculi were removed through one passage in 38 cases,through two passages in 6, and three passages in 3. Among the 47 patients, the MPCNL was performed once in 35, and twice in 12. The stonefree rate was 83.0％ (39/47) and final stonefree rate was 93.6％ (44/47). No complications were noted in all the patients.ConclusionsHighly skilled technique is necessary in MPCNL for nonnephredema kidney calculi. The MPCNL is a safe, minimally invasive, and effective method. By using MPCNL, patients have less trauma, lower rate of calculi remaining, and quick recovery. As long as the surgeons are familiar with the technique of MPCNL and the anatomy of nonnephredema kidney, the therapeutic outcome can be as good as that in the patients with nephredema renal calculi.

参考文献/References:

[1]李逊.微创经皮肾穿刺取石术（MPCNL）.中国现代手术学杂志，2003，7：338-344.
[2]吴开俊.微创技术与泌尿外科.中国微创外科杂志，2002，2（增刊）：S21-S22.
[3]余强国.经尿道输尿管肾镜联合体外冲击波碎石治疗无积水肾结石.中国内镜杂志，2005，11（8）：870-874.
[4]李逊，曾国华，袁坚，等.经皮肾穿刺取石术治疗上尿路结石（20年经验）.北京大学学报（医学版），2004，36：124-126.
[5]Lahme S,Bichler KH,Strohmair WL,et al.Minimally invasive PCNL in patients with renal pelvic and calyceal stones.Eur Urol,2001,40:619-624.
[6]邓超雄，王庆堂，杨航，等.经皮肾造瘘输尿管镜钬激光治疗复杂性肾结石.中国微创外科杂志,2006,6(12):975-976.
[7]王宇雄，周沈阳，范立新，等.微创经皮肾穿刺取石出血12例报告.中国微创外科杂志，2007，7（5）：470-471.

更新日期/Last Update: 2013-10-22